Health Technology, Digital Healthcare
Article | August 16, 2023
Discover the EHR companies that empower medical professionals with user-friendly interfaces and clinical decision support. Stay abreast of the top EHR companies reshaping healthcare delivery.
Electronic health records (EHRs) have become vital in streamlining patient care, enhancing efficiency, and promoting data-driven decision-making. As healthcare providers shift from traditional paper-based systems to digital solutions, numerous EHR companies have emerged, providing advanced EHR technologies that transform how medical information is collected, organized, and utilized.
This article features the top 25 EHR companies at the forefront of this digital revolution, showcasing their innovative solutions, commitment to data security, interoperability, and user-centric designs.
1. WebPT
WebPT is a premier rehab therapy platform that elevates patient care and drives business growth. With a comprehensive suite of features, including scheduling, documentation, billing, outcomes tracking, business reporting, and system integrations, it offers a robust web-based solution that caters to outpatient settings of all sizes, facility types, and specialties. Since its launch in 2008, WebPT has demonstrated remarkable growth and success, earning its place on the prestigious ‘Inc. 5000 List of America's Fastest-Growing Companies’ for an impressive nine consecutive years, an accomplishment achieved by less than 1% of companies on the Inc. 5000 list.
2. CarePaths EHR
CarePaths EHR, a renowned provider of affordable behavioral health EHR and practice management system, is recognized among the best EHR companies catering to psychiatrists, psychologists, social workers, and counselors in private practice, group practice, and health systems. Its all-inclusive package offers seamless management of various practice aspects, including patient records, clinical record keeping, customized documentation, treatment plans, outcomes & assessment tracking, and practice management tools. CarePaths EHR offers practitioners a seamless experience with eligibility verification, scheduling, reporting, accounting, and convenient ePrescribing functionality, even from mobile devices.
3. iPatientCare
iPatientCare is a leading provider of a comprehensive suite of innovative healthcare products and value-added services dedicated to assisting physician offices, rural health clinics, and community/federally qualified health centers (CHC/FQHC) in enhancing patient care, improving patient health outcomes, and reducing the costs associated with delivering care. Its highly acclaimed EHR, integrated practice solutions, and additional services, such as revenue cycle enhancement and quality improvement consulting, offer a complete package to effectively manage practice operations, boost revenue generation, and provide superior patient care. iPatientCare enables healthcare providers to significantly reduce accounts receivable (A/R) days and enhance collection rates while streamlining billing processes, alleviating internal workload, and bridging staffing gaps.
4. Azalea Health
Azalea Health is a leading provider of interoperable cloud-based healthcare solutions and services. Its comprehensive portfolio includes electronic health records (EHR) with integrated telehealth functionality, personal health records, mobile health applications, and interoperability services. With a strong focus on customer success, this EHR company caters to practices and ambulatory hospital strategies, delivering immediate improvements in cash flow and clinical outcomes through innovations in revenue cycle performance and care coordination. The company's offerings include laboratory ordering and results management, patient portal and PHR solutions, telehealth services, population health management tools, revenue cycle performance services, patient-centered medical home services, and pre-certification services.
5. Bizmatics
PrognoCIS, engineered, owned, and serviced by Bizmatics Inc., is one of the leading EHR companies that provides clinical and business productivity software & services to medical practices and multi-specialties. Its flagship cloud-based application, PrognoCIS, offers a fully-integrated solution encompassing EHR, telemedicine, practice management, medical billing, RCM, patient engagement tools, and more. PrognoCIS EHR, built on a robust multi-tier internet architecture, supports various medical specialties and offers customizable templates for tailored documentation. With seamless information flow between the EHR and Billing modules, the company ensures real-time data exchange. It is HIPAA-compliant, ICD-10 enabled, and Meaningful Stage 2 Certified, with click-saving features that enhance productivity and optimize workflow.
6. Modernizing Medicine
Modernizing Medicine Gastroenterology, formerly known as gMed and now a subsidiary of Modernizing Medicine, is a renowned provider of an integrated health IT platform designed explicitly for the gastroenterology industry. Its comprehensive range of data-driven products and services caters to private practices, ambulatory surgery centers, and hospitals. The offerings include an advanced EHR system, an efficient endoscopy report writer, a comprehensive practice management solution, a patient engagement portal, a value-based care solution, data analytics tools, and revenue cycle management services. Additionally, gMed Canada, Inc. operates as a wholly-owned subsidiary of Modernizing Medicine Gastroenterology, Inc., further extending the company's reach and impact in the healthcare industry.
7. Sevocity
Sevocity is a leading provider of electronic health record (EHR) solutions dedicated to empowering physician practices and health centers to adopt and utilize EHRs effectively. It offers affordable and user-friendly cloud-based solutions supported by exceptional customer service. Sevocity's cloud solution ensures secure and convenient access to clinical information anywhere. The innovative model of this EHR software development company enables physician practices and health centers to implement cost-effective solutions with minimal upfront investments and eliminates the need for additional maintenance costs. Electronic health record companies such as this one is committed to facilitating the seamless integration of EHR technology, enabling healthcare providers to enhance their practice efficiency and deliver quality patient care.
8. Visonex
Visonex prioritizes establishing solid client relationships by going beyond technology and ensuring ongoing success. With its Clarity EHR solution, Visonex offers a treatment-centric approach tailored to the unique needs of dialysis clinics. Its user-friendly and configurable system keeps clinics ahead of regulatory changes and provides exceptional support with 24/7 assistance and cost-free webinars. The electronic health record company also offers Visonex Enhanced Services that combine Clarity EHR with data management and dialysis billing services, including CROWNWeb electronic submission, quality measures assessment tools, and specialized billers.
9. WRS Health
WRS Health is a cloud-based EHR and practice management software company. Its core mission is to assist physicians in achieving balance in their roles as healers, business owners, and individuals. With a focus on simplifying operational tasks and promoting business growth, WRS Health has developed systems and processes that automate practice management, allowing physicians to devote their time to patient care. Its comprehensive tools seamlessly manage clinical and billing information, while additional services such as the virtual front desk assistant, MIPS management, and revenue cycle management support automation and task delegation.
10. eClinical Solutions
eClinical Solutions is a globally recognized company that supports life sciences organizations in expediting their clinical development endeavors through its biometrics services and ‘elluminate’ Clinical Data Cloud expertise. The ‘elluminate’ platform serves as the cornerstone of digital trials, allowing clients to conveniently access all their data from a single centralized location. By integrating eClinical Biometrics Services, clients gain self-service capabilities and benefit from advanced analytics, empowering them to make informed and timely business decisions. With its comprehensive suite of services and cutting-edge technology, eClinical Solutions plays a pivotal role in accelerating clinical development initiatives worldwide.
11. AdvancedMD
AdvancedMD is a prominent electronic health record software company specializing in cloud medical office software. It caters to ambulatory medical practices, providing comprehensive solutions to support independent physicians and their staff. The company offers a flexible outsourced billing option, allowing practices to leverage the services of a third-party billing company. It empowers clients with state-of-the-art tools and technologies that seamlessly integrate practice and patient workflows, creating a transformative practice experience. With AdvancedMD, healthcare facilities can efficiently handle higher patient volumes, resulting in enhanced productivity and improved financial outcomes. Patients benefit from electronically connecting and engaging with their healthcare providers, enhancing their overall healthcare experience.
12. Practice Fusion
Practice Fusion is cloud-based EHR offers time-saving features like customizable templates and patient charts that adapt to individual needs, focusing on enhancing efficiency and streamlining workflows. This EHR platform integrates with local pharmacies, laboratories, imaging centers, and other tools, enabling smooth information exchange. Clients benefit from flexible billing options, collaborating with industry-leading partners to expedite payment processes. Monitoring progress is simplified with insightful dashboards, and reporting data can be directly submitted to CMS through the EHR. As a cloud-based solution, there is no need to download software or manage hardware, ensuring both security and up-to-date functionality.
13. DrChrono
DrChrono aims to enhance the quality of care by making it more informed, interactive, and personalized. The company's open platform is the backbone for various healthcare solutions, including telehealth, electronic health records (EHR), practice management, medical billing, and revenue cycle management. With a strong emphasis on flexibility and customization, the platform easily extends through a robust API and offers a marketplace of applications and services. DrChrono's platform facilitates millions of patient appointments and efficiently processes billions of dollars in medical billing. It plays a crucial role in revolutionizing the healthcare industry by empowering providers and patients. 14. CureMD CureMD's portfolio comprises a range of cutting-edge solutions, including certified electronic medical records (EMR), practice management, patient portal, and medical billing services. By offering these comprehensive tools, CureMD aims to expedite the adoption of EHRs and assist healthcare providers in achieving ‘Meaningful Use’ qualification, thereby driving positive outcomes and maximizing value and subsidy payments. Leveraging advanced web technology and award-winning usability, CureMD empowers healthcare professionals to make informed decisions, streamline operations, and ensure compliance with industry standards. CureMD's comprehensive EMR solution is tailored to customize care delivery, enhance quality and patient safety, maximize efficiency, and reduce expenses. Its integrated platform combines practice management, electronic health records, patient portals, and a mobile care solution catering to medical practices of all sizes.
14. CureMD
CureMD's portfolio comprises a range of cutting-edge solutions, including certified electronic medical records (EMR), practice management, patient portal, and medical billing services. By offering these comprehensive tools, CureMD aims to expedite the adoption of EHRs and assist healthcare providers in achieving ‘Meaningful Use’ qualification, thereby driving positive outcomes and maximizing value and subsidy payments. Leveraging advanced web technology and award-winning usability, CureMD empowers healthcare professionals to make informed decisions, streamline operations, and ensure compliance with industry standards. CureMD's comprehensive EMR solution is tailored to customize care delivery, enhance quality and patient safety, maximize efficiency, and reduce expenses. Its integrated platform combines practice management, electronic health records, patient portals, and a mobile care solution catering to medical practices of all sizes.
15. RXNT
Founded in 1999, RXNT has significantly impacted the healthcare industry by introducing a groundbreaking cloud-based solution for prescription writing. Over the years, its commitment to innovation has remained unwavering, enabling it to deliver top-notch solutions that set the industry standard continuously. This electronic health record software company takes pride in offering these cutting-edge solutions at an affordable cost, ensuring that healthcare providers can access the best tools available. By providing these essential tools, RXNT empowers thousands of healthcare providers to concentrate on their core competency—delivering exceptional patient care.
16. TherapyNotes, LLC
TherapyNotes is a unique online practice management system tailored specifically for behavioral health, encompassing a comprehensive range of features, including robust notes, scheduling, and billing capabilities. Setting itself apart from other practice management systems, the company excels in its notes system, providing an intuitive form-filled approach that significantly accelerates data entry and note-writing processes. Furthermore, the platform offers a dynamic 'to-do' list that automates task management, guiding clinicians on necessary actions such as post-session note writing, contacting primary care physicians when necessary, and scheduling treatment plan updates.
17. SimplePractice
SimplePractice is an all-in-one practice management solution that serves private practices in the health and wellness sector. With a remarkable customer base of over 169,000 practitioners, the company has established itself as the leading EHR provider. This comprehensive platform empowers practitioners to efficiently manage their businesses with various powerful features, including autoPay, online booking, telehealth capabilities, and customizable documentation and notes. Through SimplePractice, practitioners can efficiently optimize their workflows, resulting in significant time savings.
18. eMDs
eMDs, a brand of CompuGroup Medical, stands as a prominent provider of comprehensive solutions designed to promote the well-being of both patients and healthcare providers. With a strong focus on integration and connectivity, the company offers a range of solutions, including EHRs, practice management software, RCM, and credentialing services tailored for physician practices and enterprises. CompuGroup Medical understands the unique needs of healthcare professionals and strives to deliver software solutions that enhance physician productivity and elevate the overall clinical experience. EHR companies, such as this one, demonstrate their commitment to excellence through the accolades they receive, with eMDs software consistently earning top rankings in respected physician and industry surveys conducted by prestigious organizations.
19. The Echo Group
The Echo Group is recognized as a leading developer and implementer of enterprise-grade software solutions exclusively designed for behavioral health organizations across the United States. The company's suite of tools includes visual EHRs, government reporting and compliance features, clinical and financial decision support functionalities, as well as medical and government billing capabilities. The company provides flexible solutions for managed care organizations with both self-hosted and SaaS deployment options. It offers additional services such as RCM, IT support, fiscal and clinical process workflow analysis.
20. MD Synergy Solutions
MD Synergy Solutions is a renowned provider of integrated solutions for medical offices, utilizing its advanced cloud-based technology and innovative RCM services. The company's technology platform encompasses EMR, PM, and patient portals, enabling seamless operations within medical practices. Using proprietary rule engine technology, MD Synergy Solutions delivers exceptional RCM service through its WorkQueues. The company's comprehensive offering caters to small-to-large physician practices, offering easily implementable and adaptable cloud-based software solutions.
21. Pulse Systems, Inc.
Pulse, a reputable RCM company, offers advanced medical billing services and cutting-edge technologies to facilitate payment processes, streamline workflow, and enhance patient care delivery for physicians. Renowned as a leading SaaS and mobile solutions provider, Pulse offers a comprehensive suite of integrated EHR, PM, population health, electronic prescription, medical billing clearinghouse, patient engagement, and payment technologies to physicians, medical service providers, and patients alike. With a broad user base encompassing thousands of providers across over 40 specialties, Pulse ensures that its clients achieve optimal financial and clinical outcomes.
22. DocuTAP
DocuTAP is a dynamic health information technology company offering integrated technology solutions to over 3,000 on-demand healthcare practices and primary care clinics nationwide. Renowned for its flagship product, DocuTAP's EMR and Practice Management software, this EHR company uses an innovative workflow optimization approach. Its comprehensive on-demand healthcare solution includes 'Clockwise.MD' patient engagement technology, RCM services, as well as DocuTAP Insight, a powerful business intelligence tool with customizable reports and industry benchmarks.
23. Elation Health
Elation Health is widely recognized as a premier technology platform for primary care that prioritizes delivering exceptional value. With a strong focus on clinical excellence, the company has provided innovative solutions since its establishment in 2010. Elation Health offers a collaborative EHR platform, enabling practices to effectively initiate, expand, communicate, and excel in delivering personalized, top-tier care to their patients. This electronic health record company is committed to supporting primary care clinicians in preserving the art of medicine while adapting to the ever-changing healthcare environment.
24. Net Health
Net Health is a company dedicated to leveraging data to improve human health. Its comprehensive solutions include EHR software and predictive analytics that provide actionable insights for various medical specialties, such as rehab therapy, wound care, home health and hospice, and employee health. Net Health empowers caregivers and organizations to effectively engage with patients, streamline documentation, optimize staffing, ensure appropriate reimbursement, and adhere to regulatory requirements. With its unique approach to analytics, this EHR software company integrates valuable insights into clinical and operational workflows, resulting in improved care quality and enhanced business performance.
25. ChiroTouch
ChiroTouch is widely recognized as a leading provider of cloud-based chiropractic software, offering a fully-integrated EHR solution tailored exclusively for chiropractors. This innovative platform is built from scratch and can be seamlessly accessed from any device at any time, providing chiropractors unparalleled convenience and flexibility. ChiroTouch eliminates the need for multiple vendors by offering a comprehensive system that handles payment processing and insurance claims management, allowing chiropractors to focus on their patients instead of paperwork. The software is designed to be user-friendly and accessible, ensuring a smooth transition for practitioners. The new generation of ChiroTouch is purposefully designed to optimize efficiency in all areas, accommodating various payment methods, including cash and insurance.
In a Nutshell
These top EHR companies will enable medical professionals to benefit from user-friendly interfaces, streamlined workflows, and enhanced clinical decision support, improving patient care and efficiency. Furthermore, the innovations and expertise of these EHR companies have a positive ripple effect, inspiring collaboration and driving advancements across the healthcare ecosystem. By embracing these electronic health record software companies, professionals and EHR companies can harness the power of digital health records to revolutionize healthcare delivery and contribute to the industry's ongoing transformation.
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Health Technology
Article | September 12, 2023
Delve into the EHR tools reshaping the healthcare industry for an efficient and patient-centric future. Unlock streamlined workflows and data-driven decision-making through these EHR software tools.
Adopting an EHR tool has become crucial for clinics and healthcare providers striving to revolutionize their operations and deliver a high standard of care. These innovative EHR software tools possess the potential to transform healthcare workflows, enabling clinics to optimize processes, streamline operations, and provide an exceptional level of care to patients. From facilitating seamless communication and improving operational efficiency to enhancing patient satisfaction, EHR tools unlock possibilities for improved operations, accurate claims processing, and enhanced financial management within practices.
This article explores the top 10 electronic health record tools that are reshaping the healthcare industry and paving the way for a more efficient and patient-centric future.
1. Avalon EHR
It is an EHR evaluation tool that prioritizes robust physician-patient engagement, setting it apart from complex electronic health record (EHR) systems. With an unwavering focus on reliability and security, Avalon offers a cutting-edge solution for the future of healthcare. Its key features include CureMD's clinical overview, which presents alarms, trends, and patient histories on a single screen, ensuring comprehensive insights. The platform also boasts a specialized rheumatology section with templates for typical symptoms, simplifying documentation processes. Furthermore, Avalon provides regular updates for various medical specialties following CPT and ICD codes, ensuring compliance, proper medical procedures, and diagnosis recording. Notably, it supports automated overnight transcription of dictations into templates, significantly reducing the time and billing service partners' costs associated with finding and documenting clinical findings.
2. AdvancedBiller
The AdvancedBiller Grow program offers medical billing companies a comprehensive and advantageous solution, combining industry-leading software solutions with exclusive partner benefits. This program is designed to drive optimal outcomes by providing a unified practice management workflow, excellent support, free promotional opportunities, and competitive, scalable pricing. With a focus on boosting performance and profitability, AdvancedBiller equips businesses with the necessary tools to excel in their field. The program features custom health plans that assist doctors in managing individual patient needs based on age, sex, and lab findings. Additionally, it offers customizable note-taking templates to align with specific workflows and preferences. This EHR tool also facilitates telemedicine appointments, enabling patients to communicate face-to-face with their doctors and receive important notifications. Furthermore, the program enhances data management by allowing doctors to save sensitive information and screenshots during conference calls securely. By leveraging the AdvancedBiller Grow program, medical billing companies can optimize operations, deliver superior care, and achieve notable success.
3. Halemind
EHR integration tools, such as Halemind, present a game-changing solution that enables clinics to elevate their operations and provide superior patient care. This comprehensive platform offers many features, including appointment scheduling, patient registrations, check-ins, consultations, prescriptions, billing, and reporting, all aimed at delivering a seamless customer experience. With Halemind, clinics can transform their business and scale up their operations. The platform also provides specialized functionalities for pharmacies, allowing real-time access to customer histories, order tracking, invoicing, and supplier management. In addition, hospitals can benefit from Halemind's capabilities, such as operations planning, invoicing, payment collection, patient sample tracking, and customizable data display. Medical facilities can further enhance their efficiency by utilizing its in-patient module for managing wards, rooms, and beds and generating discharge reports.
4. SIMPLEX HIMES Patient Portal
SIMPLEX HIMES software incorporates an optional yet powerful feature, the Patient Portal and Mobile Application, designed to revolutionize patient engagement and communication. This EHR tool seamlessly integrates with existing websites, providing healthcare facilities with a comprehensive EHR tool to enhance the patient experience. The Patient Portal enables efficient control of patient intake, bed availability monitoring, operating room scheduling, and centralized patient demographic management within hospitals. The software streamlines operations for pathology labs by managing information about referral laboratories, generating barcodes for sample tracing, and delivering timely test result alerts via email or text. Additionally, patients benefit from self-service portals, empowering them to conveniently schedule appointments, access medical records, locate service provider locations, and communicate with their doctors.
5. Patient Engagement
The Patient Engagement tool offers patients unparalleled access to their personal health information, visit summaries, and lab results, empowering them to take an active role in their healthcare journey. With the help of this EHR tool, patients can conveniently book appointments online using the healow Open Access feature, efficiently manage their medications, and engage in secure messaging with their healthcare providers. In addition, the eCW software utilized within the tool provides organized data capture, trend analysis, and customizable documentation options for various healthcare specialties. Clinicians can effortlessly retrieve any aspect of the patient record through the Patient Hub, ensuring complete and efficient access to vital information. Furthermore, eClinicalWorks Version 11 introduces Eva, a computer program that assists physicians in evaluating patient records, leveraging details from the Progress Note tool and data flowsheets. This advanced functionality enhances clinical decision-making and promotes efficient patient care.
6. Electronic Prescription
The Electronic Prescription tool revolutionizes prescription management in the healthcare industry, offering a seamless and efficient solution for healthcare providers. This advanced software streamlines the prescription process by eliminating traditional prescription pads, enhancing convenience and accuracy. AllegianceMD, integrated within the tool, enables patients to fill out their history and demographic information online within defined clinic limits, facilitating seamless integration of patient information. This EHR tool encompasses a range of features, including an active/inactive medicine list, e-refill requests, an allergy list, and comprehensive drug interaction checks. The software also includes a lab module for efficiently tracking test results and follow-ups. With its extended functionalities, the Electronic Prescription tool elevates prescription management, promoting patient safety and enhancing workflow efficiency for healthcare providers.
7. Telehealth
WRS Health Telehealth offers healthcare providers and patients a secure and reliable virtual care experience. With seamless integration into the electronic health record (EHR), this comprehensive telehealth platform provides a single platform for managing virtual patient encounters. Designed with ease of use in mind, both patients and providers can navigate the user-friendly interface effortlessly. This EHR comparison tool is a safe alternative to in-office visits, offering private and secure online consultations that comply with HIPAA regulations. This telehealth solution ensures a smooth and efficient workflow with its seamless integration of clinical and revenue cycle management (RCM) functionalities.
8. Practice Management for Billing Companies
The Practice Management tool offered by SequelMed is a comprehensive solution that streamlines operations and enhances efficiency in healthcare practices. This advanced tool automates various tasks, including billing, claim processing, revenue management & clinical procedures, and generates analytical reports for comprehensive insights, with the option of bundled or separate programs for electronic health records and practice management. The software provides interoperability with imaging systems and medical equipment through HL7 and DICOM interfaces, offering flexibility in deployment options with on-site or cloud hosting. In addition to its core functionalities, it enhances patient engagement with real-time communication, online patient registration, active prescription lists, immunization schedules, and a patient portal. The Practice Management Tool simplifies computerized prescription processes and promotes connectivity across healthcare systems, enabling healthcare providers to optimize their operations and deliver efficient, patient-centered care.
9. Medical Practice Management Software
The Practice Management Software offers healthcare providers a powerful solution to streamline operations, ensure accurate claims processing, and expedite reimbursement cycles. With its intuitive design and comprehensive features, this software empowers practices to take control of their operations and optimize efficiency. Users can benefit from the HIPAA-compliant claims clearinghouse provided by NueMD, allowing for the seamless processing of unlimited claims. The software makes it easier to submit paper claims by reducing it to a single click, and it also simplifies payment transactions by incorporating credit card processing. Additionally, the ONC-ATCB-certified EHR enhances clinical workflow by providing charting capabilities, e-prescribing, laboratory report monitoring, and secure fax management.
10. LiquidEHR
LiquidEHR is a cloud-based electronic health record (EHR) solution ideal for small and midsize optometry practices. It offers a range of features to manage medical records, scheduling, and billing effectively. The software includes specialized tools specific to optometry, such as historical IOP charts, drawing tools, built-in eye charts, frames data integration, and image management. Clinicians using LiquidEHR have access to electronic insurance filing tools, patient recalls, drug interactions and allergy checks, problem lists, medication recommendations, educational resources, vital signs monitoring, and more. The system also ensures data security through access controls, audit logs, and encryption features.
Future Scope
By staying informed about the top EHR tools highlighted in this article, medical practitioners can unlock streamlined workflows, improved communication, and data-driven decision-making to optimize clinical practices and deliver exceptional patient care. The future of EHR assessment tools looks promising, with emerging trends like artificial intelligence, machine learning, interoperability, and telehealth shaping the way forward. By embracing these advancements, healthcare professionals can stay ahead of the curve, maximize operational efficiency, and position themselves for success in the healthcare industry.
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Health Technology
Article | February 19, 2022
Dialysis providers face many of the same financial and operational pressures that affect other provider organizations, including flat or reduced reimbursements, chronic staffing shortages, and increasingly complex insurance requirements. Dialysis centers, nephrologists, and renal pharmacies also grapple with the impact of a growing shift in dialysis care to the home setting.
End-to-End Automation Can Reduce Denials, Improve Cash Flow
The good news is that despite these challenges, dialysis providers can sustain strong cash flow, reduce costs, and mitigate denials by applying advanced technology to the revenue cycle.
Here are six ways technology can help strengthen the dialysis center revenue cycle in the today’s difficult operating environment:
Identify undisclosed insurance coverage
Because patients often present as self-pay even though coverage exists, determining their true insurance status can be challenging. Yet failure to identify existing insurance can result in significant write-offs.
That’s why renal providers need technology solutions that can uncover patient coverage information before care is provided. Change Healthcare’s Coverage InsightTMsolution provides an expansive network and search-and-matching capabilities necessary to identify and confirm patient coverages at the outset of care.
The solution uses machine learning algorithms—coupled with access to vast stores of available third-party-data—to develop robust patient profiles, which can then be linked to potential funding sources. Notably, it identifies a variety of indicators, including high probability of disability, income levels and financial status, insurance sources, and other actionable information to help you verify coverage and recover revenue.
We can help identify undisclosed coverage for end-stage renal disease (ESRD) patients through Medicare/Medicaid, Disability/SSI, third-party liability, commercial insurance, state and county programs, social programs, and charity.
Expedite seamless prior authorizations
Streamlining the prior authorization process is essential to help ensure optimal reimbursement for renal care rendered, particularly with commercial insurance and Medicare. But traditional prior authorization processes are frequently time-consuming and labor-intensive and can delay necessary care.
Our Clearance Authorization software addresses the chronic problem of prior authorizations with automated functionality that can determine if prior authorization is required and on file with the payer. The solution also will automatically check medical necessity requirements at the time of registration and electronically submit requests to integrated payers.
Change Healthcare’s Connected Authorization Services go a step further by deploying pre-authorization experts to handle routine authorizations quickly using intelligent technology while working complex cases by exception to improve authorization efficiency and accuracy.
Speed adjudication with electronic attachments
As claims management processes have grown more numerous and complex, providers have struggled to ensure that the correct information is provided to the payer at the appropriate time. The result can be delayed, denied, or rejected claims.
Assurance Attach AssistTMcontributes to faster reimbursement and reductions in denials, organizational expense, and administrative burden by automating the attachments process to meet payers’ increased demands for additional documentation. Attachments are automatically delivered and matched to the appropriate claim, and once the claim is released, claim and attachment status can be easily tracked.
Expedite claims workflow for recurring services
Creating claims for ongoing ESRD care requires repeatedly documenting the same details on each claim. Revenue Performance Advisor, an end-to-end medical billing platform, provides automation that allows dialysis staff to save time by quickly replicating unchanged data from prior visits while updating date-of-service and other information to expedite claims processing.
Revenue Performance Advisor also includes eligibility and benefits verification and automated claims scrubbing that flags incomplete or incorrect claims prior to submission, resulting in a first-pass clean claim rate of 98%.
Accelerate your Medicare claim cash flow
Medicare is one of the largest payers of dialysis services, so ensuring a problem-free and expedited Medicare claims submission process is essential to strong cash flow.
Our Assurance Medicare Direct EntryTMsolution provides a single system for the real-time submission and processing of Medicare claims. It can help expedite reimbursement, reduce AR days, and speed your Medicare primary claim cash flow by at least one full business day.
Assurance Medicare Direct Entry also checks your Medicare claims for eligibility errors using the CMS eligibility transaction system (HETS). Claims needing attention are flagged and posted in Assurance Reimbursement Management for editing. You can quickly correct errors within the system before transmitting the claim directly to Medicare for validation and payment processing.
Optimize patient liability
Making it easy for patients to receive, understand, and pay their portion of the medical bill is key to ensuring a healthy revenue cycle, mitigating the need for collection services, and improving patient goodwill.
With our Patient Billing and Statements solution, Change Healthcare serves as your strategic communications partner, delivering multi-channel, personalized print and digital statements to help expedite patient payment collection.
The solution is designed to provide fast, effective statement and invoice processing, printing, and mailing—cutting your costs and getting you paid sooner. Our advanced statement printing allows you to bypass conventional and time-consuming folding, stuffing, and stamping.
SmartPayTMconsolidates each step of the billing and payment process into one place, enabling you to collect more patient payments, get paid faster, reduce your collection costs, and lower patient write-offs. With multiple payment channels, including online, mobile, telephone and via mail, SmartPay helps expedite patient payments before, during, and after the encounter.
A single, trusted partner
Change Healthcare’s deep knowledge of the renal care landscape and our development of disruptive technologies to overcome traditional revenue cycle barriers can help dialysis centers achieve unprecedented revenue cycle excellence.
And unlike many point solutions that only address a specific revenue cycle issue, Change Healthcare’s technologies are part of a comprehensive approach delivered through a single, trusted vendor. That translates into improved process integration and continuity, as well as simpler overall accountability.
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